Hi , I am 41 years old ,from last 6-7 months ,I am suffering from heavy mensurational bleeding with big clots and heavy periods for more than 7 days . Because of this my hemoglobin level also go down . So can you help me on this . Thanks
Hello Namit Ji,
Heavy menstrual bleeding (Menorrhagia) with large clots and prolonged periods for more than 7 days or more than one cycle can have several underlying causes. To better understand your situation, please share:
- Is your cycle regular or irregular?
- Any history of fibroids, polyps, endometriosis, PCOS, or thyroid issues?
- Have you had any recent tests like pelvic ultrasound, CBC, or hormone profile?
Possible Causes:
✔ Hormonal Imbalance – Estrogen-progesterone imbalance leading to excessive endometrial growth.
✔ Uterine Fibroids/Polyps – Non-cancerous growths in the uterus causing heavy bleeding.
✔ Endometriosis or Adenomyosis – Uterine lining growing abnormally, leading to severe periods.
✔ Thyroid Disorders – Hypothyroidism can affect menstrual cycles.
✔ Bleeding Disorders – Certain conditions may cause excessive bleeding.
Suggested Treatment Plan:
🔹 Medical Treatment:
- Iron supplements to manage anaemia and improve haemoglobin.
- Hormonal Therapy to regulate bleeding.
🔹 Lifestyle & Home Care:
- Iron-rich diet – Leafy greens, pomegranate, beetroot, legumes, and red meat.
- Hydration – Drink plenty of fluids to avoid weakness.
- Regular Exercise & Stress Management – Helps maintain hormonal balance.
🔹 When to Consider Surgery?
If medications don’t help, diagnostic procedures like dilatation and curettage or hysteroscopy may be required. Additionally, treatment like endometrial ablation, uterine artery embolization, or hysterectomy (in severe cases) may be considered.
Since your haemoglobin is dropping, it’s important to consult a gynaecologist for detailed evaluation (ultrasound, hormonal tests, CBC, and clotting profile) to determine the exact cause and get the right treatment.
Let us know if you need help booking an appointment. Take care!
Vianam Healthtech Private Limited (HexaHealth), Third Floor Building B, The Presidency, 46/4, Sector 14, Mehrauli Gurgaon Road, Gurgaon, Haryana 122001
